Bilateral lumbosacral plexopathy after femoral vein dialysis: synopsis of a case

Severe hemorrhage because of delayed iliac vein rupture after dialysis catheter placement: Is it preventable?

“…Of the 1083 femoral catheterizations carried out in our hospital in 15 years, this is the first case documented. In recent decades, this complication appears to be reported from isolated cases (Table ) . In different studies, ultrasound localization and visualization of the vein with respect to the artery reduces the time of exposure to risk and the number of punctures .…”

“…The action taken by the multidisciplinary team comprising a nephrologist, radiologist, and vascular surgeon is a key factor in the evolution. It is essential to try to identify the injured area using available imaging techniques such as computed axial tomography or angiography . Some authors suggest a conservative approach to catheter removal and manual compression because massive bleeding may hinder the site of lesion during open surgery, which in turn may trigger the tamponade effect of the hematoma .…”

“…In recent decades, this complication appears to be reported from isolated cases ( Table 1). [3][4][5][14][15][16] In different studies, ultrasound localization and visualization of the vein with respect to the artery reduces the time of exposure to risk and the number of punctures. 6 Furthermore, operator inexperience has been considered of less importance when catheters are inserted under direct observation using ultrasound guidance.…”

“…It is essential to try to identify the injured area using available imaging techniques such as computed axial tomography or angiography. 15 Some authors suggest a conservative approach to catheter removal and manual compression because massive bleeding may hinder the site of lesion during open surgery, which in turn may trigger the tamponade effect of the hematoma. 14 However, we chose the surgical approach and endovascular repair, if it were necessary.…”

A reappraisal on the management of lumbosacral plexopathies in gynecological malignancies: where do the physiatrists stand?

“…The diagnosis of LSP may sometimes herald the tumor initially or its metastasis during the follow‐up. It is noteworthy that not uncommonly do the physiatrists uncover intra‐abdominal pathologies as they detect various types of plexopathies in their physical examinations (7,8) . This again signifies the importance of prompt physical examination especially for the physicians dealing with the neuromusculoskeletal system.…”